The door swings both ways, however. Evidence-based veterinary medicine (EBVM) requires “the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients.” 1

For veterinary medicine to establish itself as an evidence-based profession, regular approaches to everyday conditions require re-evaluation according to this new standard. In their introduction to EBVM, Holmes and Ramey warn against relying overmuch on common sense, educated guesses and uncontrolled observations instead of results from “reliable empiric research.” 2

They advise that in addition to having the capacity to critically appraise scientific literature, “(A) good clinician needs good powers of observation, empathy with patients and clients, manual dexterity and a host of other skills.” Now it seems that acupuncture may become one of those skills based on accumulating results indicating substantive benefits.

It happens; clients get angry from time to time. Every position in the practice has had to deal with an angry client at some point. Clients get mad for a variety of reasons, but we can keep in mind some basic concepts no matter the reason. First, the angry client wants to be heard.